Foreign objects in the spinal canal.
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Foreign Bodies↗
Biomedical subjects
H D Messer
Publications and source records attributed to H D Messer.
Intrathecal aminoglycoside antibiotic administration.
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Aminoglycosides↗
Lumbar spinal abscess managed conservatively. Case report.
The authors report the case of a patient with spinal abscess in whom operation was withheld because of severe concomitant medical problems. Conservative management resulted in apparent cure.
Abscess↗
Transient paraplegia from hematoma after lumbar puncture. A consequence of anticoagulant therapy.
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Female↗
Pyogenic cervical osteomyelitis. Chondro-osteomyelitis of the cervical spine frequently associated with parenteral drug use.
Pyogenic osteomyelitis of the cervical spine was successfully treated without bone grafting in 11 of 12 patients. Staphylococcus aureus was the most common organism. Four of the patients were heroin addicts, and six others had received parenteral injections under medical supervision. The patients were immobilized promptly, and after diagnostic procedures, cultures, and drainage when appropriate, they were treated with antibiotics, which led to spontaneous fusion in the 11 who survived. In the preantibiotic era, these infections frequently evolved into "epidural abscess", with resultant cord compression leading to permanent paralysis or death. Therefore, early differential diagnosis from tuberculosis or cancer is necessary. Today, with early diagnosis, immobilization, an anterior surgical approach when necessary, and the appropirate antibiotic, cure without neurological deficit should be the rule.
Adult↗
Copper jacketed bullets in the central nervous system.
Bullets fired from hand guns are often partially or fully jacketed with copper - a fact that can usually be recognized on radiographs. The copper content of the metallic foreign body (MFB) appears to be more toxic than unjacketed lead and sometimes leads to migration of the MFB through brain tissue. Therefore, it appears wise to attempt to recognize and remove copper containing MFBs when they lie in contact with the central nervous system. Plain lead missiles and those partially clad with copper often leave traces of lead along their paths, while those that are completely copper clad do not. Partially clad missiles tend to show some separation of lead and copper - revealing two differing metallic densities on the radiographs.
Adolescent↗